Dr Ruth Suzanne Fontaine, MD, MA is a
General Practice physician based in Sun Valley, California. Dr Ruth Suzanne Fontaine is licensed to practice in California (license number A41199) and her current practice location is 8879 Laurel Canyon Blvd, Suite C, Sun Valley, California. She can be reached at her office (for appointments etc.) via phone at
(818) 252-2000.
NPI number for Dr Ruth Suzanne Fontaine is 1144384066 and her current mailing address is 3600 Harbor Blvd, 80, Oxnard, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144384066.
Physician's Profile
| Full Name | Dr Ruth Suzanne Fontaine |
|---|
| Gender | Female |
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| Speciality | General Practice |
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| Location | 8879 Laurel Canyon Blvd, Sun Valley, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144384066
- Provider Enumeration Date: 12/22/2006
- Last Update Date: 01/24/2011
Medical Identifiers
Medical identifiers for Dr Ruth Suzanne Fontaine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144384066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | A 41199 (California) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | A 41199 (California) | Secondary |
| 208D00000X | General Practice | A41199 (California) | Primary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | A41199 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ruth Suzanne Fontaine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ruth Suzanne Fontaine, MD, MA
3600 Harbor Blvd, 80,
Oxnard, CA 93035-4136
Ph: (805) 901-7644 | Dr Ruth Suzanne Fontaine, MD, MA
8879 Laurel Canyon Blvd, Suite C,
Sun Valley, CA 91352-2959
Ph: (818) 252-2000 |
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